Individual
JACQUELINE REEVES THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
MEMPHIS VETERANS AFFAIRS MEDICAL CENTER (VAMC), 1030 JEFFERSON AVE, MEMPHIS, TN 38016
(901) 523-8990
Mailing address
2860 GOOSE CREEK DR APT 103, CORDOVA, TN 38016-1834
(301) 613-5064
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC0000004507
TN
Other
Enumeration date
10/11/2019
Last updated
11/27/2023
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